Abstract A new interview procedure is proposed for collecting valid information on the acquisition of high-level performance in sport. The elicits verifiable development athletes' achievements their primary sport, as well factors that might influence performance, including involvement other sporting activities, injuries, physical growth and quality training resources. Interviewed athletes also describe engagement specific relevant activities during each year how they experienced type...

Abstract The development of expertise for two groups rhythmic gymnasts was studied where a group elite (Olympic) compared to sub‐elite (International) gymnasts. Structured interviews were used collect retrospective information about the gymnasts' health, training resources, level and ranking, hours spent in activities. rated practice activities during last period their (age 16 older) with respect perceived physical effort, mental concentration, fun. Olympic involved significantly fewer...

Nursing plays a central role in facilitating care transitions for complex older adults, yet there is no consensus of the components nurse-led interventions to facilitate high quality among adults. A structured expert panel was established with purpose identifying effective transition interventions.A modified Delphi technique based on RAND method employed. Panelists (n = 23) were asked individually rate series statements derived from realist synthesis literature relevance, feasibility and...

To investigate the association between perceptions of neighbourhood physical and social characteristics three health outcomes (self assessed status, chronic conditions, emotional distress).Cross sectional survey data analysed in small neighbourhoods.Hamilton, Ontario, Canada, a medium sized industrial city, located at western end Lake Ontario (population time study about 380 000).Random sample 1504 adults aged 18 years older residing four contrasting neighbourhoods.Significant differences...

Purpose: It has been widely noted that existing healthcare systems do not always function effectively for the transgender population. Despite barriers, however, individuals have shown to positive experiences. This study explored a cohort of who had experiences, and those were involved in creating experience individuals. Methods: A single case was conducted, which included 10 interviews with individuals, providers, friends/family/significant others Data analyzed through thematic analysis....

Integrating patient and family member needs, wants preferences in healthcare is of utmost importance. However, a standardized engagement model to understand these order translate into high quality improvement activities lacking. Experience based co-design (EBCD) an approach that enables patients, members providers initiatives together. In this study, EBCD was employed to: 1) assess the current state information educational resources at local oncology center 2) partner with members, create...

Abstract: A qualitative design was used to explore the nature of caregiver involvement in care transitions patients being transferred from an acute hospital a rehabilitation hospital. Participants included older adults (n=13), informal caregivers (n=9), and health professionals (n=50) inpatient orthopedic units two academic science centers one unit. Semistructured interviews were conducted, audiotaped, transcribed. Directed content analysis revealed following four themes: watching, active...

Objectives The purpose of this study was to explore the experiences, beliefs and perceptions intensive care unit (ICU) nurses on management pain, agitation delirium (PAD) in critically ill patients. Design A qualitative descriptive study. Setting This took place a community hospital ICU located medium size Canadian city. Participants Purposeful sampling conducted. included full-time working ICU. Forty-six participated. Methods total five focus group sessions were held collect data. There one...

The aim of this descriptive exploratory study was to determine the perspectives parents and children with cancer on a home chemotherapy program. Qualitative analyses were used organize data from 24 14 into emerging themes. Themes included (1) financial time costs, (2) disruption daily routines, (3) psychological physical effects, (4) recommendations caveats, (5) preference for chemotherapy. When compared hospital clinic-based chemotherapy, reported fewer costs less their work family...

The Manchester Patient Safety Culture Assessment Tool (MaPSCAT) was used to examine the levels of safety culture maturity in four programs across one large healthcare organization. MaPSCAT is based on a theoretical framework that developed United Kingdom through extensive literature reviews and expert input. It provides view 10 dimensions (continuous improvement, priority given safety, system errors individual responsibility, recording incidents, evaluating learning effecting change,...

Antimicrobials are among the most commonly prescribed medications in acute care settings, with 50% of antimicrobial use deemed inappropriate. Antimicrobial stewardship programs (ASP) aim to optimize antibiotic order improve patient clinical outcomes while minimizing unwanted effects therapy including Clostridium difficile infection (CDI) and emergence resistant organisms. Stewardship involves a coordinated set interventions that ensure patients who require receive appropriate agent at...

Antimicrobial stewardship programs (ASPs) have predominately involved infectious diseases physicians and pharmacists with little attention to the nurses. To achieve optimal success of ASPs, engagement nurses actively participate in initiatives, strategies, solutions combat antibiotic resistance across health care spectrum is required. In this context, experiences local ASP teams engaging appropriate antimicrobial use were explored inform future strategies enhance their involvement ASPs.

Abstract Objective The goal was to explore the perspectives of health care professionals on factors that influence change policies, protocols and practices in Neonatal Intensive Care Unit (NICU) with regard nosocomial infection chronic lung disease. Study design An exploratory descriptive using semi‐structured individual focus group interviews used. Individual ( n = 76) sessions 14 a total 78 participants) were conducted for 154 professional participants. Methods Mayring’s qualitative...

Objective To explore the perceptions of patients, their caregivers and healthcare professionals associated with exchange information during transitioning from two acute care hospitals to one rehabilitation hospital. Design An exploratory qualitative study using semi-structured interviews observation. Participants setting Patients over age 65 years admitted an orthopaedic unit for a non-elective admission, involved in care. Participating sites included inpatient units teaching at hospital...

Background In 2013, the Society of Critical Care Medicine published a revised version ICU Pain, Agitation, and Delirium (PAD) guidelines. Immobility sleep were subsequently added in 2018. Despite well-established advantages implementing these guidelines, adoption adherence remain suboptimal. This is especially true community settings, where PAD assessment performed less often, implementation guidelines has not yet been studied. The purpose this prospective interventional study to evaluate...

This study explored health care professionals' perceptions and experiences associated with the role of point-of-care nurses during transitions from an acute hospital to a rehabilitation setting being discharged home. We used qualitative exploratory design semistructured interviews. Content analysis revealed 3 themes that point ambiguity related roles enact older patients transitions. suggest ways better support engage in quality

Delirium is a common manifestation in the intensive care unit (ICU) that associated with increased mortality and morbidity. Guidelines suggested appropriate management of pain, agitation delirium (PAD) crucial improving patient outcomes. However, practice PAD assessment community hospitals unclear mechanisms contributing to potential gap are unknown.This quality improvement initiative aimed review medical-surgical ICU (MSICU) explore MSICU nurses' perceived comfort satisfaction order...

The mental wellness of university students can be critical for their success. In an attempt to minimize stress students, many universities have implemented a policy fall break with limited evidence support its intended outcomes. This case study offers appraisal the formation at one medium sized comprehensive using qualitative and quantitative forms triangulated from (1) University Student Union survey, (2) document analysis and; (3) informant interview. lack uniformity on how is labelled,...

Attempting to support student mental health, many Canadian universities have implemented a fall break with the assumption it would be helpful in alleviating students’ stress and anxiety. However, there is no baseline data regarding level or illness burden of students understand its effectiveness. Using case study methodology mixed methods, this research sought appraise, given lack data, impact on health. While surveys revealed that overwhelmingly liked perceived reduce their school related...